Tulsa Senior AdvisorOsage County, Oklahoma's largest county by land area and the reservation of the Osage Nation, stretches north and west of Tulsa, with Pawhuska as its county seat and Skiatook's western edge, Hominy, Barnsdall and Fairfax among its communities; about 46,794 people lived there on July 1, 2025.
It is the oldest of the six counties by age: 23.4% of residents are 65 or older, with a median age of 43.9. Pawhuska Hospital and Rural Wellness Fairfax Hospital are its critical access hospitals, so many residents travel to Tulsa for specialty care. Osage County is served by INCOG's Area Agency on Aging.
How many seniors and licensed care options are in Osage County, Oklahoma?
Osage County had about 10,945 residents 65 and older (23.4% of 46,794) and 952 aged 85 and older on July 1, 2025, and OSDH's roster lists 0 assisted living centers, 1 residential care home, 0 adult day care centers and 3 nursing homes there.
| Available in Osage County | Not available in Osage County | |
|---|---|---|
| Licensed here (OSDH roster) | Residential care homes: 1, Nursing homes: 3 | — |
| Not licensed here | — | Assisted living centers, Adult day care centers |
| Dementia care in the state record | 1 building | — |
Population: U.S. Census Bureau, Vintage 2025 county population estimates by age (July 1, 2025).
Which senior care facilities are licensed in Osage County?
Every open assisted living center, residential care home, adult day care center and nursing home in Osage County on OSDH's roster is listed below, with licensed beds and the newest survey document date.
| Facility | License type | Licensed beds | City | Latest OSDH survey document | Survey documents, last 3 yrs |
|---|---|---|---|---|---|
| Barnsdall Nursing Home 411 S 4th Street, 74002 | NH | 40 | Barnsdall | 03/27/2024 | 1 |
| Fairfax Behavioral Health & Memory Care Community 282 County Road 6300, 74637 | NH | 60 | Fairfax | 05/06/2026 | 9 |
| Skiatook Nursing Home, LLC 318 South Cherry, 74070 | NH | 70 | Skiatook | 08/27/2026 | 4 |
| House of Eden Residential 2550 West Edison St, 74127 | RCH | — | Tulsa | None yet | 0 |
How does CMS rate Osage County's nursing homes?
Of the 3 nursing homes in Osage County with a CMS overall rating, 1 hold four or five stars (Care Compare data as of October 1, 2026).
- Skiatook Nursing Home, LLC, Skiatook: 4 of 5
- Barnsdall Nursing Home, Barnsdall: 2 of 5
- Fairfax Behavioral Health & Memory Care Community, Fairfax: 1 of 5
Where do Osage County families get free senior help?
Osage County is served by the INCOG Area Agency on Aging at (918) 584-7526, which handles information and assistance, in-home services and the local ombudsman program, and the statewide Long-Term Care Ombudsman line is 1-800-211-2116.
Licensing complaints go to OSDH at 1-800-747-8419; suspected abuse goes to Oklahoma Human Services at 1-800-522-3511. Check with LIFE PACE (918-949-9969) whether a specific ZIP code is in its Tulsa-area service area.
Which hospitals are closest to Pawhuska, OK?
From Pawhuska, the county seat, the closest hospital with an emergency department in CMS's hospital list is Pawhuska Hospital, in the same ZIP code, and downtown Tulsa is about 48 miles away.
The next closest hospitals are Rural Wellness Fairfax Hospital (about 22 miles) and St. John Owasso (about 46 miles). Distances are between ZIP-code centroids, not driving routes.
